Active NPI
Russell J. Wojcik, D.P.M., Inc
- Podiatrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E19200
- Legal business name
- RUSSELL J. WOJCIK, D.P.M., INC
- Practice address
- 419 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3013 - Phone
- (213) 385-1266
- NPI assigned
- Jan 25, 2007
- Last updated
- Dec 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell J Wojcik, D.P.M.
- Title
- President
- Phone
- (213) 385-1266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E19200 | CA | Primary |
Addresses
Primary practice location
419 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3013
Mailing address
12807 Elkwood St
North Hollywood, CA 91605-2035
Phone (213) 385-1266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E19200 | Medicaid | CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
419 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 307-1552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Los Angeles, CA
- NPI 1083760995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1942356860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12807 ELKWOOD ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916052035",
"telephone_number": "213-385-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 1/2 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043013",
"telephone_number": "213-385-1266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL J. WOJCIK, D.P.M., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "WOJCIK",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-385-1266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E19200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E19200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.